Timothy M Crombleholme, MD - Medicare Surgery in Aurora, CO

Timothy M Crombleholme, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Aurora, Colorado. His current practice location is 12605 E 16th Ave, Aurora, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 848-0000.

Timothy M Crombleholme is licensed to practice in Colorado (license number 50786) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194882175.

Contact Information

Timothy M Crombleholme, MD
12605 E 16th Ave,
Aurora, CO 80045-2545
(720) 848-0000
Not Available

Map and Direction




Physician's Profile

Full NameTimothy M Crombleholme
GenderMale
SpecialitySurgery - Pediatric Surgery
Location12605 E 16th Ave, Aurora, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194882175
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 11/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315921558
  • Enrollment ID: I20180726002807

Medical Identifiers

Medical identifiers for Timothy M Crombleholme such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194882175NPI-NPPES
03604764MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 35.083881 (Ohio)Secondary
2086S0120XSurgery - Pediatric Surgery 50786 (Colorado)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Timothy M Crombleholme allows following entities to bill medicare on his behalf.
Entity NameFetal Care Consultants, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578883187
PECOS PAC ID: 0749466175
Enrollment ID: O20110518000787

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy M Crombleholme is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timothy M Crombleholme, MD
Po Box 110429,
Aurora, CO 80042-0429

Ph: (303) 493-7000
Timothy M Crombleholme, MD
12605 E 16th Ave,
Aurora, CO 80045-2545

Ph: (720) 848-0000

Reviews and Comments


Surgery Doctors in Aurora, CO

Kevin Bradley Rothchild, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 12605 E 16th Ave, Aurora, CO 80045
Phone: 303-724-2728    Fax: 303-724-2761
Dr. Juan Pablo Idrovo, M.D.
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Practice Location: 12605 E 16th Ave, Aurora, CO 80045
Phone: 303-724-8366    
Gregory Stiegmann, MD
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Practice Location: 12605 E 16th Ave, Aurora, CO 80045
Phone: 720-848-0000    
Nathan W. Pearlman, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 12605 E 16th Ave, Aurora, CO 80045
Phone: 303-724-2728    Fax: 303-724-2733
Mr. Julian Simon Winocour, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1635 Aurora Ct, Aurora, CO 80045
Phone: 720-848-0000    
Jonathan Roach, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 13123 E 16th Ave, Aurora, CO 80045
Phone: 720-777-1234    
Dr. Peter T Kennealey, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12605 E 16th Ave, Aurora, CO 80045
Phone: 720-848-0000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.